Individual
MS. THERESA MARIE COWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5799
Mailing address
1814 14TH ST S APT 3, FARGO, ND 58103-4868
(701) 234-5799
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1723
ND
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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